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News
Smoking,Vaping and Nicotine

April 28,2018.

Smoking,Vaping and Nicotine

"We need to start a national debate on nicotine," Mitch Zelle Mitch Zeller.

Zeller, director of the Center for Tobacco products, the Food and Drug Administration (Food and Drug Administration, FDA), is the Congress of 2009-finally! --The legislation was established after the FDA granted tobacco control rights. In addition to cigarettes, the centre will soon have access to control over other tobacco products, including an increase in the use of electronic cigarettes, which is highly controversial.

Through a clause called "presumption rules", the tobacco Centre will soon be empowered to regulate electronic smoke.

E-cigarette opponents, including many public health officials, hope that the tobacco center will treat these new types of smoking as ordinary cigarettes: to curb the prevalence of electronic smoke among teenagers, and to impose strict limits on the industry's ability to sell products. At the same time, supporters want the center to treat electronic smoke as a "harm-reducing" product that can lead to nicotine addiction, but it does not produce carcinogens that burn cigarettes.

In this way, electronic cigarette manufacturers can claim that their products are healthy and even incorporate them into the overall harm reduction strategy to promote adult smokers to switch from smoking to electronic smoke.

When he asked for an interview with Zeller, I didn't expect him to disclose which way he wanted the centre to go, and he did not say.

In fact, one of his remarks is that the FDA is doing a lot of scientific research-more than 50, he says-hoping to accumulate enough evidence to better judge where the electronic smoke is in his "risk sequence". Zeller, a veteran of the 1990-year "tobacco War", assisted the then FDA director, David Kesler David Kessler, who had did to call cigarettes a "drug delivery device" (a drug meant nicotine) and claimed to have custody. After Kessler's explanation was rejected by the Supreme Court, Zeller left the FDA in 2000 to work for the American Heritage Foundation (American Legacy Foundation), where he instigated a powerful anti-smoking campaign, Truth campaign.

He then worked for a while at the consulting agency, Pinney Associates, and returned to the FDA in early 2013 to oversee the tobacco industry. "I like to quote Michael La Selle Michael Russell," Zeller said, the South African famous tobacco scientist who died in 2009, and was one of the pioneers of the theory that nicotine was the cause of people's addiction to cigarettes in the early 1970.

"He said, ' It's nicotine that causes people to smoke, and it's tar that kills people, '" Zeller said. That's why when there's an electronic cigarette on the market, Zeller will say it's a "fun" thing. He says cigarettes can deliver nicotine to the brain in seven seconds. Nicotine chewing sugar or patches takes up to 60 minutes, perhaps even longer, and is too slow for smokers who want to be addicted to nicotine.

But the nicotine delivery speed of electronic cigarettes can be comparable to cigarettes, so it is expected to become a serious means of quitting smoking. But people still have a lot of questions about its safety and efficacy. For example, do smokers use electronic cigarettes to quit cigarettes, or when they cannot smoke cigarettes, use it to get nicotine addiction?

In addition, there are some important questions to be answered about nicotine itself and how it is disposed of. "Nicotine and soot particles can be lethal," Zeller said. "But it's safe to put the same drug in the patch, and it's safe to have a doctor's prescription."

"It is in this confusion that he believes that" society needs a new understanding of nicotine. Within the FDA, Zeller has started talking to the "people on the other side of the house"-the department responsible for drug regulation-to develop a comprehensive, departmental policy of nicotine.

But the public health sector, as well as all of us, needs to be discussed. "One of the factors impeding this discussion," Zeller said, "is that electronic smoke opponents have seized on the many flavors of electronic smoke-many of them directly catering to teenagers-and their marketing practices, often reminiscent of the vicious" Big Tobacco "era.

"Discussions have started around these issues, leading to a hardening of attitudes on both sides," Zeller told me. This does not mean that Zeller believes that nicotine is absolutely safe (he doesn't think so), or that we don't need to take the teen-smoked cigarettes too seriously.

He was convinced that the use of electronic cigarettes should be stopped. His view is that we should realize that different methods of nicotine delivery have different risks.

To make this clear, it is an improvement in the face of the consequences it may bring. "The problem is not electronic smoke," Mitch Zelle said. "In nicotine.

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